HomeMy WebLinkAboutR 2013-203 Aging - Lune Lee Ray Instructor Watercolor Classes @ Central Orange Senior Center $3,000 ORANGE COUNTY-CONTRACT CONTROL SHEET
Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk
This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager
determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for
BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should
be completed through the legal review process prior to being routed for signature.
Department
Party/Vendor Name: Lune Lee Ray Party[Vendor Contact Person: same Contact Phone: PartyNendor Address:P 0 Box 1372
City Carrboro State: NC Zip: 2751.0 Department: Aging Amount: $3,000.00 Purpose: Instructor Budget Code(s): 10430120-629000
Vendor 4 48614 (N/A if new vendor) Vendor is a BOCC consultant? Yes❑NoZ Contract Type:(Check one)New❑ Renewal
Z Amendment ❑ Effective Date July 1,2013 Approved by Board Yes❑Nom Agenda Date: Title of Contract: Senior
Center Instructor
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were
bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: Date: yl-.47-13
IT Director
(Applicable only to hardwarelsoftware purchases or related services)This contract has been reviewed and approved by the Information
Technology Director as to technical content and information technology specifications:
IT Director's Signature: Date,
Risk Management
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; ❑ Professional; ❑ Property; OR No Insurance Required V Hold
Contract pending receipt of Certificate of Insurance El. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
Risk Manager's Signature: Date: 1 ) 1 13
Financial Services
This Contract is conditioned pon appropriation by the Board of Commissioners Yes❑No[-9" / A budget amendment is necessary
before approval Yes❑No . If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Budget and Fiscal Control Ac
N t:
-
Financial Services Director's Signature: 0 A, Date: '711 11-3
County Attorney
Approval by Board ❑ (Contracts $90,OOQ.qO or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by Manager PQ(Most other contracts$1,000 and above). Department Director approval only❑(Under
$1,000). This contract has be vie d approved by the Attorney as to legal form and ffi
'I
Attorney's Signature Dates:u 1cl
County Manager
This contract has been reviewed and is approved by the County Manager YeoNo❑.
This contract has been reviewed and is for signature by th 'hair Yes❑NoI'"�
?IC
Manager's Signature: Date: 7
Clerk to the Board
Approved by BOCC on the day of 20—. Submitted for Chair signature on the day of 20
Clerk's Signature: Date:
Revised March 2012